Clinical Operations - Team Lead

Job description

Clinical Operations -Team Lead – Health Insurance Operations

Adelaide | Hybrid (min. 2 days in office) | Permanent

A senior leadership role within a high-volume, regulated health insurance environment, responsible for leading a team delivering clinical claims assessments.

The Role

Lead a team of 15–20 claims consultants responsible for pre-existing condition (PEC) and first-line clinical assessments. Accountability sits across operational performance, clinical quality, and compliance within a structured, fast-paced setting.

Act as the escalation point for complex clinical decisions while maintaining consistent delivery against service levels, quality standards, and regulatory requirements. Drive team performance through a...